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Hypoplasia or IGT is not often spoken about, but there are estimates that up to 1 in 10 of us have insufficient breast tissue to exclusively breastfeed. Katie found out that she was one of those people when she sought help after her son, Ezra, lost 11% of his birth rate in a matter of days. The advice she received from midwives and health visitors was conflicting and confusing, leading to Katie mixed feeding, taking Domperidone and trying triple feeding for a few weeks. It was only when Katie was able to come to terms with bottle feeding Ezra, and see breastfeeding not as a source of nutrition, but as a bonding experience, that they were able to settle into a more comfortable relationship. Ezra is now two years old and still happily nursing.Resources - Making More Milk: The Breastfeeding Guide to Increasing Your Milk Production, 2nd Edition (lllgbbooks.co.uk) Essay on IGT by ABM breastfeeding counsellor Philippa Lomas - https://www.aims.org.uk/journal/item/igt#:~:text=Breastfeeding%20with%20Insufficient%20Glandular%20Tissue.%20ISSN%202516-5852%20(Online)%20To%20readFinding Sufficiency: Breastfeeding with insufficient glandular tissue (lllgbbooks.co.uk)My new book, ‘Supporting the Transition from Breastfeeding: a Guide to Weaning for Professionals, Supporters and Parents', is out now.You can get 10% off the book at the Jessica Kingsley press website, that's uk.jkp.com using the code MMPE10 at checkout.Follow me on Twitter @MakesMilk and on Instagram @emmapickettibclc or find out more on my website www.emmapickettbreastfeedingsupport.comThis podcast is presented by Emma Pickett IBCLC, and produced by Emily Crosby Media.
The Milk Minute Podcast- Breastfeeding/Chestfeeding/Lactating/Pumping
In this episode of The Milk Minute, we're tackling a topic that's been on a lot of your minds: Domperidone. We'll break down how this medication works, why some women use it to boost milk supply, and what the latest research says. We'll share personal stories, answer your questions, and give you the scoop on what to consider if you're thinking about Domperidone. Tune in to learn all about the wonder drug!Work With Us!Book a Lactation Consult with Heather! Click HERE for the deets.Book a Lactation Consult with Maureen! Click HERE to get started.THANKS TO OUR NEW PATRONS, Una Deli, Camila Braun, Nora Wittmayer, Emily Yamarone, Jennifer Raines, and Laura Reed!Listener Question: Can you remind me how many IUs of vitamin D3 I should be taking to properly supplement my breastfeeding baby?Mentioned in this episode:Ep. 31- Vitamin D: How to supplement and Why we need to Prefer to read the transcript? Click Here Support the Show.Check out Milk Minute Podcast's website here!Become a VIP Click here to get exclusive access and more!Send us an e-mail! MilkMinutePodcast@gmail.comFacebook | Instagram | TikTok
Send us a Text Message.Welcome to our first breastfeeding-only Q&A with Trisha & Cynthia. Trisha is a Certified Nurse-Midwife and International Board Certified Lactation Consultant with thousands of hours of clinical experience. Today's episode follows the format of our regular monthly Q&A episodes, where women call in with questions and we wrap up with Quickies at the end, but this time it's your breastfeeding questions only. Today Trisha answers questions such as: Can I introduce a pacifier to my exclusively breastfed baby at two and a half weeks?Is it a nursing strike or weaning: Help! My eleven-month-old is refusing my breast. What is the best way to manage pumping for my exclusively breastfed baby when I am away?How and when do I introduce a bottle to my exclusively breastfed baby so that I can leave him/her with a caregiver?What are your thoughts on using the medication Domperidone with a diagnosis of Insufficient Glandular Tissue (IGT)?In our round of Quickies, we touch on leaking, supplements for increasing supply, prenatal hand expression of colostrum, alcohol and breastmilk, breast refusal, lip blisters, breast fullness and milk supply, and flat nipples.Please remember, that every mother and baby dyad is unique, and breastfeeding issues require an individualized care plan. Online appointments are available with Trisha by texting 734-649-6294.**********Down to Birth is sponsored by:Vitality: An athleisure brand made for women, by women, designed with style and comfort for pregnancy and beyond.Davin & Adley-- The perfect nursing and pumping bra combinedSilverette Nursing Cups -- Soothe and heal sore nipples with 925 silver nursing cups.Postpartum Soothe -- Herbs and padsicles to heal and comfort.Needed -- Our favorite nutritional products to nourish yourself before, during, and after pregnancy.DrinkLMNT -- Purchase LMNT with this unique link and receive a free 8-day supply. Be sure to use the unique link to buy yours today.Use promo code: DOWNTOBIRTH for all of the above sponsors.Connect with us on Patreon for our exclusive content.Email Contact@DownToBirthShow.comInstagram @downtobirthshowCall us at 802-GET-DOWNWork with Cynthia: 203-952-7299 HypnoBirthingCT.comWork with Trisha: 734-649-6294Please remember we don't provide medical advice. Speak to your licensed medical provider for all your healthcare matters.Connect with us on Patreon for our exclusive content.Email Contact@DownToBirthShow.comInstagram @downtobirthshowCall us at 802-GET-DOWN Work with Cynthia: 203-952-7299 HypnoBirthingCT.com Work with Trisha: 734-649-6294 Please remember we don't provide medical advice. Speak to your licensed medical provider for all your healthcare matters.
Canada may seem like "just" our sweet, friendly neighbors to the north, but in reality, the Canadian Government supports moms on their postpartum journeys far more than the US Government.Today, I am so excited to introduce you to our incredible guest, Colette Hamon, from Alberta Canada. Colette is also the founder and CEO of BraTopia!As Colette shares her three baby-feeding stories, we learn: Canada provides 12 months of maternity leave! WAIT?! WHAT???!!! Yup! And NOT just for the first baby. Canada has approved a milk production drug for under-producers! The risk of uterine rupture when you have a baby less than 18 months after a C-section birth What happens when your baby isn't gaining enough weight, and you're told they have to go on a weight-gain "diet"? How the cultural pressure to lose weight after a baby, lead Colette to launch her business, BraTopia. The life-changing moment Colette had when trying on a bathing suit post-babyLinks: Generic Motilium Prices (Domperidone) https://www.pharmacychecker.com/domperidone/#prices BraTopia - https://bratopia.ca/ Rates of Uterine Rupture Study: https://pubmed.ncbi.nlm.nih.gov/20410775/Thank you so much for listening. If you enjoyed today's episode, it would mean the world to me if you'd be willing to take 30 seconds to rate and review the podcast.To do this, go to the More Milk Please Show Page on Apple Podcasts, Spotify, Amazon Music, or wherever you listen to podcasts, and hit the plus sign in the top right-hand corner. Please also consider scrolling down to the "rate and review" link and giving the Podcast 5 stars to help us reach even more Moms+.And, if you're interested in coming on to share your own baby-feeding story, head to mollyrider.com and click on “Share Your Story.”
In this episode, Jacqueline shares new breastfeeding updates for the new year. Similar to This Week in Breastfeeding, you'll hear recent news articles, new laws being passed, and misleading trends on social media. Jacqueline also shares information on side effects from popular lactation medications, and what to do if you find yourself taking these medications. In this episode, you'll hear:The new laws that are being passedAbout popular lactation medications and their side effectsWhy we need to be more cautious about what information we consume on social mediaA glance at this episode:[0:52] The Pump Act for nursing moms[3:58] Pregnant Workers Fairness Act[6:57] Domperidone and its side effects[11:47] The psychological effects of Domperidone[18:17] The side effects of Reglan[22:44] What to do if you are taking these medications[24:07] Celebrity misleading health adviceRelated Links:Domperidone articleHolistic Lactation WebsiteDiscount on Products Use Code ‘PODCAST15'Follow on InstagramBook an Appointment
Domperidone, a gastrointestinal medication, is often prescribed off-label to breastfeeding women in Canada to help increase their milk supply. Many have described it as a “miracle drug” that has helped them feed their babies. But, as a CBC investigation has found, some also believe that withdrawal after they stopped taking the drug left them in severe psychological distress — and even, in some cases, suicidal. Today, Tara Carman — a senior reporter with CBC's national investigative unit — walks us through her team's findings. **UPDATE** - An earlier version of this episode said 120 million prescriptions for domperidone were filled in 2020, based on data from Health Canada. After publication of this story, Health Canada corrected their publicly available data to reflect that 1.7 million prescriptions were filled in that year, representing around 120 million tablets. This episode now reflects that change.
Many new mothers have been prescribed the drug Domperidone to help with breastfeeding, but no country has approved the drug as a lactation aid. We hear about a CBC investigation into those prescriptions — and the alarming side effects many women are reporting.
In this episode of Kiwi Birth Tales I speak with Saejung about the pregnancy, birth and postpartum period with baby Nico. In the episode we discuss:- coming on and off the pill- falling pregnant quickly when trying- OBGYN / Midwifery Care- Hospital Birth - Epidural- Retained Placenta and 2nd Degree Tear- COVID regulations and Brady not being allowed back to Hospital - Birth Centre- Low Supply / Flat Nipples- Pumping- Domperidone- Baby Blues - Mental Health- Working / Owning a Business- Birth RecoveryI loved chatting with Saejung in this episode and hope you enjoy it too.Your Birth Project: the place you need to be to create your best birth. Explore the course and store online now.
Madison felt prepared for postpartum, but had a few unexpected challenges to overcome along the way. After a precipitous birth, her baby wasn't getting the milk he needed, and she soon realized that she had low milk supply. The sleep deprivation she experienced for the first six months was detrimental to her mental health, and she developed postpartum rage. Once she was able to get some sleep, she felt like she was back to herself. She also shares the sweet moments of the first 8 months with her baby.Here are some of the support groups Madison found helpful for low milk supply: IGT and Low milk supply support group: https://www.facebook.com/groups/IGTmamas/Support for mothers on Domperidone: https://www.facebook.com/groups/DomperidoneSupport/ And the accounts she follows on Instagram are:https://www.instagram.com/Lowsupplymomhttps://www.instagram.com/TheformulamomShe also mentioned Emily Oster's book Cribsheet. Madison's Instagram is: https://www.instagram.com/missmaddi9 Join us on the Facebook group to talk more about this episode and all things postpartum: https://www.facebook.com/groups/fourthtrimesterpostpartumstories/
Melanie Frodsham completed her Bachelor of Pharmacy at Monash University's Victorian College of Pharmacy in 2009. She is a community pharmacist based in Western Melbourne with an interest in breastfeeding. After having her first baby she completed a Cert IV Breastfeeding Education through the Australian Breastfeeding Association (ABA) as she realised, first hand, how important it was for breastfeeding mums to receive accurate breastfeeding information and good quality support. As well as her community pharmacy work Melanie volunteers as a breastfeeding counsellor, providing phone and face-to-face breastfeeding support. She helps to facilitate breastfeeding education classes for expectant parents, runs local support groups for breastfeeding mums and supports mothers through breastpump hire. Episode 5 Breastfeeding | What medications are safe? Unfortunately, there are still many reports of mothers being given incorrect information and advice around using medications while breastfeeding. Many mothers face challenges in breastfeeding their babies and receiving incorrect information or poor advice surrounding medication use can needlessly undermine a breastfeeding relationship. Breastfeeding mothers frequently need to use medicines. Medication use may be for something directly related to breastfeeding or early motherhood. For example, for managing pain following the birth of their baby, treating infective mastitis or for post-natal depression and/or anxiety. Medication use may also be for other common conditions that come up in life; a common cold, hayfever, heartburn or headaches. The truth is that most medications are safe to use while breastfeeding. Some may be preferred over others and there are a few that are good to avoid. There is almost always a safe option. Breastfeeding mums shouldn't feel like they need to ‘suffer in silence' and leave a medical condition untreated. Nor should they feel like they are required to stop breastfeeding in order to get the medical treatment they need (this is only the case for a small number of women with serious medical conditions). Women deserve to receive accurate information around medicines use and good quality support to enable them to meet their breastfeeding goals wherever possible. 5 Indispensable tips 1. Most medicines are safe to take while breastfeeding. It is good to seek advice to find out which might be the best option for you. 2. Information on medicine boxes or on the leaflets that come inside boxes may not be the most up-to-date – use a reliable information source such as LactMed or speak to an expert on medicines in breastfeeding by calling one of the medicines information lines (see web links supplied) 3. If you are given strange advice about medicines and breastfeeding – eg ‘pump and dump' for 72 hours – seek a second opinion! 4. Medicines can sometimes be helpful for increasing breastmilk supply, HOWEVER, other techniques, for example, more frequent feeding and getting good support to make sure baby is attaching well to the breast, are often MORE effective. 5. Spending money on expensive vitamin or herbal supplements is not necessary for breastfeeding Further resources and links Breastfeeding Helpline (for general breastfeeding enquiries and support): 1800 686 268 Medicines in breastfeeding fact sheet for over the counter medicines. Produced by the Royal Women's Hospital Melbourne: https://thewomens.r.worldssl.net/images/uploads/fact-sheets/Medicines-in-breastfeeding-151018.pdf LactMed: https://www.ncbi.nlm.nih.gov/books/NBK501922/ Medicines information centres phone numbers for expert advice about medicines use during breastfeeding (list compiled by the Australian Breastfeeding Association): https://www.breastfeeding.asn.au/bf-info/safe-when-breastfeeding/breastfeeding-and-prescription-medications Some further information and resources for other topics briefly touched on during this episode: Information and support for parents experiencing post-natal depression and/or anxiety: https://www.panda.org.au/ Increasing milk supply: https://www.breastfeeding.asn.au/bf-info/common-concerns%E2%80%93mum/supply Domperidone for increasing breast milk. Produced by the Royal Women's Hospital Melbourne: https://thewomens.r.worldssl.net/images/uploads/fact-sheets/Domperidone-for-increasing-breast-milk-supply-260219.pdf Weaning: https://www.breastfeeding.asn.au/bf-info/weaning-and-introducing-solids/weaning Lactation suppression: https://shop.breastfeeding.asn.au/products/lactation-suppression/ See omnystudio.com/listener for privacy information.
With the FDA warning against domperidone, we have noticed an increasing number of U.S. parents who choose to induce lactation or relactate without using the pharmaceutical medication domperidone. While we have spent many episodes discussing the safety and effectiveness of domperidone, our ultimate goal is to meet each parent with a plan for inducing lactation or relactation that is consistent with their preferences. In this episode Alyssa and Hope discuss alternatives to domperidone and how milk production may be impacted by a lactation plan that does not include dom. Full Shownotes available at: http://sweetpeabreastfeeding.com/podcast/49-ditching-the-dom-inducing-lactation-or-relactating-without-domperidone
For breastfeeding parents, safely taking medications - whether they are for the parent's health or for increasing milk production - can be complex. It is a delicate balance between the parent's health, the safety of the milk for the baby, and the importance of breastfeeding. It involves communication between the parent's health care providers, the baby's health care providers, and the pharmacist who can help to put it all together. Here our friend and pharmacist with a ton of experience with lactation, Dr. Frank Nice has more answers. On today's episode, we asked Dr. Nice questions such as: How to understand safety of medications when a parent is taking several of them. Can we simply look at each one individually or is there a combined impact? What if both parent and baby are taking medications - do we need to consider the safety of how those medications interact in combination? When a parent is making less than a full milk supply, will the amount of the parent's medication in the milk be more concentrated or will the baby get less medication because there is less milk? ...and more!
In the US, it is natural that we have a lot of concerns about the safety and side effects of domperidone. Our Food & Drug Administration has not yet approved this medication (see episode #4 for more on that) so parents are generally obtaining it without a doctor's or certified nurse midwife's prescription*. That also means that the pharmacist is not able to oversee use of domperidone and how it plays out with other medications that the nursing parent is taking. That is our unfortunate reality today. With this in mind, it is essential that parents and lactation professionals understand and take responsibility for possible contraindications and side effects associated with domperidone. We are extremely fortunate once again to bend the hear of one of the most expert resources on safety and use of pharmaceuticals while breastfeeding, Dr. Frank Nice.
Lacey Barratt Photography In today's episode, Claire shares how she and her partner Steph had a home birth with their little girl LJ. As a same-sex couple, Claire and Steph used a home insemination process with sperm given to them from a very good friend. As a naturopath, Claire carefully monitored her cycles and use acupuncture to help make the process as smooth as possible. They were lucky enough to conceive on their first home transfer. Despite starting with GP Shared care Claire knew that she wanted a low intervention home birth. Claire decided to start interviewing private midwives to have a home birth and she found a lovely midwife who she and Steph connected with and they hired her for their pregnancy and home birth care. Lacey Barratt Photography Claire discusses how she discovered she had some abdominal muscle separation. She eased off her regular Yoga practice at 30 weeks when the separation went to a three finger width apart gap. Claire takes us through how she and Steph prepared themselves to co-feed LJ. Steph has never been pregnant before however, she was able to induce lactation through pumping regularly and taking natural medicines and Domperidone. Both Steph and Claire now breastfeed little LJ. To hear more listen now… Topics covered: induced lactation, home insemination, home birth, water birth, private midwife, acupuncture, naturopath, breastfeeding, placenta encapsulation, same-sex couple. Show Sponsors: The lovely About Birth Online are the sponsors of today's episode. About Birth Online are offering the listeners a 15% off discount. Enter Birthstories15 at time of checkout.
We can't get enough of talking with Dr. Nice about medications for increasing milk production. Domperidone is at the forefront of our discussion, as usual. We delve a bit deeper into dosages and side effects of dom with Dr. Nice. But we don't leave you there: we know that domperidone is tricky business in the United States right now (since it is not yet FDA approved) and wondered if there may be other medications for increasing milk production that are both safe and more available in the US. Dr. Nice has the answers!
In this episode, Dr. Frank Nice debuts his first special episode on our podcast! He gives some updates about Domperidone as well as talks about the use of Reglan for parents who want to use these medications to increase their milk production, as well as some of the risks and possible side effects. See more information on our show notes at: www.SweetPeaBreastfeeding.com/podcast.
This week on the podcast, Melissa shares her breastfeeding story. Melissa talks about her first baby’s slow weight gain and her low milk supply. Lot’s of great tips for supply in this episode! Show notes: Domperidone study After our interview with Melissa, she had this to share about the second year of nursing her first… The post All Things Breastfeeding: Melissa’s Breastfeeding Story appeared first on The Breastfeeding Center of Ann Arbor.
Domperidone is a pharmaceutical medication that can help increase milk production. In this interview, Frank Nice gives us the scoop on "dom". He tells us who might benefit from domperidone and who shouldn't take it. He tells us about common - and some not-so-common side effects. We learn what dosage is ecommended, and how to safely and effectively discontinue using domperidone when the time comes. And of course we discuss the big controversy around domperidone - why it is not currently FDA approved and where we are in the process of getting it approved. Listen to Dr. Nice's interview: Here are a few highlights from our interview: General dosage of domperidone is 10-20mg 4 times per day or 30mg 3 times per day. Increasing the dosage can further increase milk supply, but dosages greater than 120mg per day rarely result in additional milk production (although a few mothers have found dosages up to 240mg per day are effective). Although most mothers who will get a boost in milk production from domperidone notice a difference within a few days, it can take up to 4 weeks for domperidone to have an effect on milk production for some mothers. Although risk of cardiac arrythmia is stated by the FDA as a reason they have not approved domperidone, metoclopromide (aka Reglan) has the same very low level of risk and it is FDA approved. While domperidone is currently in orphan drug status in route to becoming FDA approved as a medication for breastfeeding mothers, there is also a push for FDA approval for domperidone as a treatment for gastroparesis and this may happen even sooner. Right now, we can expect to wait another 3-4 years before domperidone is FDA approved. Not only is he a wealth of knowledge, Dr. Nice lives up to his name with a huge heart for mamas and babies. We are thrilled to add this amazing interview to our podcast stream. Find out more about Dr. Nice and his work at www.nicebreastfeeding.com About Dr. NiceDr. Frank J. Nice has practiced as a consultant, lecturer, and author on medications and breastfeeding for 40 years. He holds a Bachelor’s Degree in Pharmacy, a Masters Degree in Pharmacy Administration, Masters and Doctorate Degrees in Public Administration, and Certification in Public Health Pharmacy. He retired from the US Public Health Service after 30 years of distinguished service. Dr. Nice practiced at the NIH and served as a Project Manager at the FDA. He recently retired after 43 years of government service and currently is self-employed as a consultant and President, Nice Breastfeeding LLC (www.nicebreastfeeding.com).Dr. Nice has published Nonprescription Drugs for the Breastfeeding Mother, 2nd Edition and The Galactogogue Recipe Book. Dr. Nice has also authored over four dozen peer-reviewed articles on the use of prescription medications, Over-the-Counter (OTC) products, and herbals during breastfeeding, in addition to articles and book chapters on the use of power, epilepsy, and work characteristics of health care professionals. He has organized and participated in over 50 medical missions to the country of Haiti. Dr. Nice continues to provide consultations, lectures, and presentations to the breastfeeding community and to serve the poor of Haiti.
Cell-based drug absorption assays are an essential component of ADME/Tox testing for lead compounds. In this report, Apparent Permeability (Papp) and Efflux data demonstrate how an automated procedure, when compared to manual processing, provides a method that is less variable and is capable of delivering a more accurate assessment of a compound’s absorption characteristics.